Clinical analysis of surgical treatment of primary mediastinal tumors in 93 cases

Abstract

Objective To investigate the effects of different surgical methods on primary mediastinal tumors. Methods Ninety-three patients with primary mediastinal tumors from March 2012 to May 2013 were included in the study. According to the different surgical methods, the patients were divided into the thoracoscopic surgery group (54 cases) and the traditional thoracotomy group (39 cases). The intraoperative bleeding volume, operation time and incision size of the two groups were observed. The extubation time, length of hospital stay and postoperative use of analgesics were recorded. Through follow-up, the status of complications, disease recurrence and death in 6 months after surgery were understood. Results The intraoperative bleeding volume, operation time and incision size of the thoracoscopic surgery group [(70.63±24.12) ml, (1.52±0.37) h, (4.43±2.04) cm] were significantly lower than those of the traditional thoracotomy group [(94.52±16.87) ml, (2.11±0.48) h, (6.11±1.86) cm] (P<0.05). The extubation time, length of hospital stay and cases who used analgesics after surgery in the thoracoscopic surgery group [(2.13±1.52) d, (5.17±2.41)d, 9 cases] were significantly lower than those in the traditional thoracotomy group [(3.56±2.07) d, (7.45±3.06) d, 16 cases] (P<0.05). The incidence rate of three kinds of adverse events such as complications, recurrent pathogenetic condition and death in the thoracoscopic surgery group (9.26%) were significantly lower than those in the traditional thoracotomy group (25.64%, P<0.05). Conclusions Thoracoscopic surgery in the treatment of patients with primary mediastinal tumors can get better clinical curative effect. Compared with traditional thoracotomy, it can shorten the recovery time of patients, and reduce the incidence of postoperative adverse conditions at the same time. It is an effective means of treatment. Key words: Primary mediastinal tumor; Thoracoscopic surgery; Curative effect